JUDITH ANN DISRUD

MADISON, WI
NPI1184889412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1513-19)
Enumeration Date2008-07-25
Last Update Date2015-05-11
Business Address
-- JUDITH ANN DISRUD PTA
7710 S BROOKLINE DR
MADISON, WI 53719-3511
Phone number: 608-833-2017
Mailing Address
-- JUDITH ANN DISRUD PTA
2620 WAUNONA WAY
MADISON, WI 53713-1525
Phone number: 608-223-1459
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